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KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
- Hypoperfusion complex (HC)
Synonyms
- Shock bowel
- Shock abdomen
- Hypovolemic shock complex
- Hypotension complex
Definitions
- Constellation of CT findings indicative of compensated shock
IMAGING
CT Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
- Higashi H et al: Traumatic hypovolemic shock revisited: the spectrum of contrast-enhanced abdominal computed tomography findings and clinical implications for its management. Jpn J Radiol. 32(10):579-84, 2014
- Higashi H et al: Hypovolemic shock complex: does the pancreatic perfusion increase or decrease at contrast-enhanced dynamic CT? Clin Imaging. 38(1):31-4, 2014
- Sheybani EF et al: Pediatric nonaccidental abdominal trauma: what the radiologist should know. Radiographics. 34(1):139-53, 2014
- Wang J et al: Hypovolemic shock complex in the trauma setting: a pictorial review. Can Assoc Radiol J. 64(2):156-63, 2013
- Prasad KR et al: CT in post-traumatic hypoperfusion complex--a pictorial review. Emerg Radiol. 18(2):139-43, 2011
- Ito K et al: Adrenal glands in hypovolemic shock: preservation of contrast enhancement at dynamic computed tomography. J Comput Assist Tomogr. 34(4):513-6, 2010
- Ames JT et al: CT hypotension complex (shock bowel) is not always due to traumatic hypovolemic shock. AJR Am J Roentgenol. 192(5):W230-5, 2009
- Ryan MF et al: The halo sign and peripancreatic fluid: useful CT signs of hypovolaemic shock complex in adults. Clin Radiol. 60(5):599-607, 2005
- O'Hara SM et al: Intense contrast enhancement of the adrenal glands: another abdominal CT finding associated with hypoperfusion complex in children. AJR Am J Roentgenol. 173(4):995-7, 1999
- Strouse PJ et al: CT of bowel and mesenteric trauma in children. Radiographics. 19(5):1237-50, 1999
- Levine CD et al: CT in patients with blunt abdominal trauma: clinical significance of intraperitoneal fluid detected on a scan with otherwise normal findings. AJR Am J Roentgenol. 164(6):1381-5, 1995
- Mirvis SE et al: Diffuse small-bowel ischemia in hypotensive adults after blunt trauma (shock bowel): CT findings and clinical significance. AJR Am J Roentgenol. 163(6):1375-9, 1994
- Sivit CJ et al: CT in children with rupture of the bowel caused by blunt trauma: diagnostic efficacy and comparison with hypoperfusion complex. AJR Am J Roentgenol. 163(5):1195-8, 1994
- Sivit CJ et al: Posttraumatic shock in children: CT findings associated with hemodynamic instability. Radiology. 182(3):723-6, 1992
- Jeffrey RB Jr et al: The collapsed inferior vena cava: CT evidence of hypovolemia. AJR Am J Roentgenol. 150(2):431-2, 1988
- Taylor GA et al: Hypovolemic shock in children: abdominal CT manifestations. Radiology. 164(2):479-81, 1987
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
- Hypoperfusion complex (HC)
Synonyms
- Shock bowel
- Shock abdomen
- Hypovolemic shock complex
- Hypotension complex
Definitions
- Constellation of CT findings indicative of compensated shock
IMAGING
CT Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
- Higashi H et al: Traumatic hypovolemic shock revisited: the spectrum of contrast-enhanced abdominal computed tomography findings and clinical implications for its management. Jpn J Radiol. 32(10):579-84, 2014
- Higashi H et al: Hypovolemic shock complex: does the pancreatic perfusion increase or decrease at contrast-enhanced dynamic CT? Clin Imaging. 38(1):31-4, 2014
- Sheybani EF et al: Pediatric nonaccidental abdominal trauma: what the radiologist should know. Radiographics. 34(1):139-53, 2014
- Wang J et al: Hypovolemic shock complex in the trauma setting: a pictorial review. Can Assoc Radiol J. 64(2):156-63, 2013
- Prasad KR et al: CT in post-traumatic hypoperfusion complex--a pictorial review. Emerg Radiol. 18(2):139-43, 2011
- Ito K et al: Adrenal glands in hypovolemic shock: preservation of contrast enhancement at dynamic computed tomography. J Comput Assist Tomogr. 34(4):513-6, 2010
- Ames JT et al: CT hypotension complex (shock bowel) is not always due to traumatic hypovolemic shock. AJR Am J Roentgenol. 192(5):W230-5, 2009
- Ryan MF et al: The halo sign and peripancreatic fluid: useful CT signs of hypovolaemic shock complex in adults. Clin Radiol. 60(5):599-607, 2005
- O'Hara SM et al: Intense contrast enhancement of the adrenal glands: another abdominal CT finding associated with hypoperfusion complex in children. AJR Am J Roentgenol. 173(4):995-7, 1999
- Strouse PJ et al: CT of bowel and mesenteric trauma in children. Radiographics. 19(5):1237-50, 1999
- Levine CD et al: CT in patients with blunt abdominal trauma: clinical significance of intraperitoneal fluid detected on a scan with otherwise normal findings. AJR Am J Roentgenol. 164(6):1381-5, 1995
- Mirvis SE et al: Diffuse small-bowel ischemia in hypotensive adults after blunt trauma (shock bowel): CT findings and clinical significance. AJR Am J Roentgenol. 163(6):1375-9, 1994
- Sivit CJ et al: CT in children with rupture of the bowel caused by blunt trauma: diagnostic efficacy and comparison with hypoperfusion complex. AJR Am J Roentgenol. 163(5):1195-8, 1994
- Sivit CJ et al: Posttraumatic shock in children: CT findings associated with hemodynamic instability. Radiology. 182(3):723-6, 1992
- Jeffrey RB Jr et al: The collapsed inferior vena cava: CT evidence of hypovolemia. AJR Am J Roentgenol. 150(2):431-2, 1988
- Taylor GA et al: Hypovolemic shock in children: abdominal CT manifestations. Radiology. 164(2):479-81, 1987
